Formulas · Tonify Yang 補陽 · Hagan Yubang (河間遺方)

Rehmannia Drink

Jihwang-eumja

한글 지황음자 · Pinyin Di Huang Yin Zi

地黃飮子

舌瘖 is loss of speech with the tongue itself unable to move, as distinguished from 暴瘖, sudden loss of voice.

Composition 構成

Sukjihwang Shu Di Huang
熟地黃 숙지황 · Prepared Rehmannia

4 g
Chief 君
Pageuk Ba Ji Tian
巴戟 파극 · Morinda Root

4 g
Chief 君
Buja Fu Zi
附子 부자 · Prepared Aconite

2 g
Chief 君

blast-fried
Sansuyu Shan Zhu Yu
山茱萸 산수유 · Cornus

4 g
Deputy 臣
Yukjongyong Rou Cong Rong
肉蓯蓉 육종용 · Cistanche

4 g
Deputy 臣
Seokgok Shi Hu
石斛 석곡 · Dendrobium

4 g
Deputy 臣
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

2 g
Deputy 臣
Wonji Yuan Zhi
遠志 원지 · Polygala

4 g
Assistant 佐
Omija Wu Wei Zi
五味子 오미자 · Schisandra

4 g
Assistant 佐
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

4 g
Assistant 佐
Maekmundong Mai Men Dong
麥門冬 맥문동 · Liriope

4 g
Assistant 佐
Seokchangpo Shi Chang Pu
石菖蒲 석창포 · Acorus

2 g
Envoy 使
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

three slices
Daejo Da Zao
大棗 대조 · Jujube

—
Envoy 使

two fruits
Bakha Bo He
薄荷 박하 · Mint

—
Envoy 使

a little

Total 42 g per packet (첩) · representative dosage — verify against source texts. Excludes 3 ingredients measured by count or used as a vehicle, shown as —.

Received this formula from your practitioner? Amounts shown here are classical reference values — granule and prepared products differ. Always follow your prescribed dosage and directions.

Actions 效能

Treats wind stroke with mutism and useless legs
Supplements the kidney and leads the qi back to its source

Indications 主治

Pattern-based

Kidney vacuity with the qi failing to reach the root of the tongue
Wind stroke with mute tongue and paralysed legs

Biomedical correlates

Dysarthria and paraparesis after stroke
Vascular dementia with speech loss

Source text 原文

Donguibogam 東醫寶鑑

治中風舌瘖ㆍ足廢, 腎虛弱, 其氣厥不至舌下. 熟地黃ㆍ巴戟ㆍ山茱萸ㆍ肉蓯蓉ㆍ石斛ㆍ遠志ㆍ五味子ㆍ白茯苓ㆍ麥門冬各一錢, 附子(炮)ㆍ肉桂ㆍ石菖蒲各五分. 右剉, 作一貼, 入薑三片, 棗二枚, 薄荷少許, 同煎, 空心服. 《河間》

Translation

Treats wind stroke with a mute tongue and useless legs, the kidney vacuous and weak and its qi reversed so that it does not reach beneath the tongue. Cooked rehmannia, morinda, cornus, cistanche, dendrobium, polygala, schisandra, poria and ophiopogon, 1 don each; blast-fried aconite, cassia bark and acorus, 5 fun each. Cut up, make one packet, add three slices of ginger, two jujubes and a little mint, decoct together and take on an empty stomach. — Hagan Yubang 河間 (Donguibogam · Pung)

Clinical commentary 臨床

The best-known formula of the 暴瘖 section and the clearest statement of its mechanism: the kidney qi is reversed and does not reach beneath the tongue. Mute tongue above and useless legs below is the pattern — which is to say a lesion with both bulbar and motor involvement — and the answer is not to attack the wind but to supplement the root and send a little acorus and mint up to open the orifice. Nine supplementing drugs at full dose, three warming and opening drugs at half: the proportion is the formula's argument. It remains in use for post-stroke dysarthria and for the speech loss of vascular dementia, and of everything in this section it is the one with the most to recommend it. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.